Active NPI
Christina Faulk
- Athletic Trainer
- Goose Creek, SC
National Provider Identifier
1962157610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 54 Oak Grove Rd
Goose Creek, SC 29445-4356 - Phone
- (870) 662-1288
- NPI assigned
- Feb 21, 2022
- Last updated
- Feb 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
54 Oak Grove Rd
Goose Creek, SC 29445-4356
Mailing address
54 Oak Grove Rd
Goose Creek, SC 29445-4356
Phone (870) 662-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1962157610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 OAK GROVE RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294454356",
"telephone_number": "870-662-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 OAK GROVE RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294454356",
"telephone_number": "870-662-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.